NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A 22-year-old female primigravida who is at 36 weeks' gestation is seen in the ED with a low platelet count, ALT of 68 U/L, AST of 55 U/L, and a continuous, severe headache that has lasted three days. The nurse prepares for what to occur?
Correct Answer: C
Rationale: The symptoms suggest HELLP syndrome (hemolysis, elevated liver enzymes, low platelets), a medical emergency requiring prompt delivery of the baby.
Question 2 of 5
The nurse is caring for a client after he experienced a seizure (postictal). Which intervention would the nurse expect not to perform?
Correct Answer: A
Rationale: During the postictal phase, the client needs rest and monitoring, not immediate return to pre-seizure activity, which could be unsafe.
Question 3 of 5
Which task is included in the working phase of the nurse-client relationship?
Correct Answer: C
Rationale: The working phase involves evaluating progress toward goals, building on strengths identified earlier.
Question 4 of 5
The nurse is caring for a client who was admitted for chest pain. The client is oriented to person and place, but is often confused about the month of the year or what season it is. A family member tells the nurse, 'I'd like for you to sign as a witness on my mother's living will, in case something happens to her and we need to make health care decisions for her.' Which is the best response by the nurse?
Correct Answer: C
Rationale: The client’s confusion raises concerns about her capacity to understand the living will, which must be addressed before witnessing to ensure validity.
Question 5 of 5
The nurse is preparing a middle-aged female for a total knee replacement (TKR) surgery on her left leg tomorrow. Which statement by the nurse is incorrect?
Correct Answer: C
Rationale: A fracture pan is inappropriate post-TKR; a bedpan or bedside commode is typically used. Other statements are correct.